<div class="modal-header">
        <button type="button" class="close" data-dismiss="modal" aria-hidden="true">x</button>
        <h3 id="myModalLabel">Recargar Cliente</h3>
    </div>
    <div class="modal-body">
        <div class="row-fluid">
            <div class="span12">
                <div class="block">

                    <div class="data-fluid">
                        <?php echo $this->Form->create('Cliente', array('action' => 'recargar')); ?>
                        <div class="row-form">
                            <div class="span3">NIT/CI:</div>
                            <div class="span9"><?php echo $this->Form->text('nit', array('placeholder' => 'Numero de Nit o C.I.', 'required')); ?></div>
                        </div>
                        <div class="row-form">
                            <div class="span3">Apellido :</div>
                            <div class="span9"><?php echo $this->Form->text('nombre', array('placeholder' => '', 'required')); ?></div>
                        </div>
                        <div class="row-form">
                            <div class="span3">Monto a Recargar:</div>
                            <div class="span9"><?php echo $this->Form->text('monto_recarga', array('placeholder' => '0.00', 'required')); ?></div>
                        </div>

                        <div class="row-form" align="right">
                            <?php echo $this->Form->submit('Registrar Recargar', array('class' => 'btn btn-success"', 'onclick' => "return confirm('Esta seguro de los datos?')")); ?>
                            <?php echo $this->Form->end(); ?> 
                        </div>

                    </div>
                </div>
            </div>
        </div> 
    </div>

    <?php echo $this->Form->end(); ?>